Organization
ROGUE VALLEY PHYSICIANS
Active
Other names
SOUTHERN OREGON INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI S WAGNER CPA (CEO)
(541) 282-2208
Entity
Organization
Contact information
Practice address
2900 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 282-2208
(541) 282-2237
Mailing address
2900 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 282-2208
(541) 282-2237
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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